Specialised care for a special patient group
PAIME — the Spanish sick doctor scheme — has treated more than 1,800 doctors with mental health or substance misuse problems since 1998, many in the Galatea Clinic in Barcelona. Catherine Reilly reports. … [Read more]
Hormonal Therapy for Prostate Cancer
Prostate cells depend on androgens to stimulate growth, function and proliferation. Testosterone secretion is regulated by the hypothalamic-pituitary-gonadal axis. Hypothalamic luteinising hormone-releasing hormone (LHRH) stimulates the anterior pituitary gland to release luteinising hormones (LH and FSH) stimulate the testes to secrete testosterone. Testosterone, … [Read more]
A watershed in medical education
At a time when e-learning has become more important than ever for medical professionals who want to sharpen their skills and earn CPD credits, one system stands unparalleled in terms of quality and the way in which it can vastly expand a seminar’s target audience. … [Read more]
Tasting some Turkish dislikes
Giovanni Morelli has some advice for those contemplating a trip to Trabzon in Turkey, and examines a war of words among its Balkan neighbours over naming the rights of Teran wines. … [Read more]
News
Breaking news: IMO secures better terms in revised Public Service Agreement
By Lloyd Mudiwa. The IMO has secured “significantly” improved terms in the Croke Park II talks, Irish Medical Times reports. Following extensive talks at the Labour Relations Commission, the IMO has today (Tuesday May 21) agreed a set of proposals on key issues which it will now refer to a meeting of the Organisation’s National [...]
Breaking news: Doctors want legal provision to abstain from abortion
By Lloyd Mudiwa. While the official policy of the IMO was against abortion, the Organisation was obliged to operate within the legal framework in relation to the subject, its President has acknowledged.
Access to diagnostics is based on ‘ability to pay’
By Lloyd Mudiwa. In stark contrast to their private patients, GPs’ public patients have limited access to diagnostics in all services, resulting in unacceptably long waits, unnecessary referrals to hospital emergency departments and poorer outcomes, according to the ICGP.
State backs plan for six groups
By Gary Culliton. The Government has committed itself to the formation of hospital groups which the Minister for Health, Dr James Reilly, regards as pivotal to the “most fundamental reform of our healthcare system since the foundation of the State”.
HSE seeks private care PCRS support
By Lloyd Mudiwa. The HSE is seeking service providers to provide administrative support for its Primary Care Reimbursement Service (PCRS).
America ‘in awe’ of Irish primary care
By Lloyd Mudiwa. Outgoing ICGP President Prof Bill Shannon signed off his term in office with an impassioned plea to his professional colleagues and members of the College not to allow the loss of a patient-centred generalist practice, as has happened in North America.
UHI prospects ‘ebbing away’
By Gary Culliton. The prospects of implementing universal health insurance are getting more remote, a leading economist has warned. “The trouble is that the gap — in terms of getting from where we are, to universal health insurance coverage — is getting bigger, rather than smaller. It is a worrying situation,” said Colm McCarthy.
Guiding principles set out for data collections
By Lloyd Mudiwa. HIQA was due to publish this week new guidelines on collecting important health and social care information geared towards greater consistency across all national data collections, regardless of their size, structure and function.
Doctors honoured for quality innovations
By Lloyd Mudiwa. A patient-centred, interdisciplinary safety initiative for those taking methotrexate won the overall ninth annual ICGP Quality in Practice Award at the ICGP AGM in Galway.
IMO AGM 2013 I
IMO AGM 2013 II
IMO AGM 2013 III
Clinical Times
Clinical update on breast cancer
There is significant evidence linking obesity to breast cancer incidence. In his latest Clinical Update, Gary Culliton reports on breakthrough research in susceptible women.
Antipsychotics: managing medical crises
Dr Muhammad Arshad, Consultant Child and Adolescent Psychiatrist at Hawkes Bay District Hospital, New Zealand, and Prof Michael Fitzgerald, Henry Marsh Professor of Child Psychiatry, TCD, on the use of antipsychotics.
New implanted device can predict epilepsy seizures
For the first time, a small device implanted in the brain has accurately predicted the onset of seizures in some adults who have epilepsy that does not respond to drugs, according to a small proof-of-concept study published online first in The Lancet Neurology.
‘Slippery slope’ fears for euthanasia of very sick newborns unfounded
Fears that legalising euthanasia for very sick newborns would prompt the start of a ‘slippery slope’ and lead to abuse of the option have proved groundless, says the architect of a dedicated protocol used by doctors in the Netherlands, in a special issue of the Journal of Medical Ethics.
Opinion
Don’t Knock the regions
The North East, Knock and Ulster all make an appearance in Dr Ruairi Hanley’s whistle-stop tour of the regions — and all for different reasons.
Gong warfare in the awards season
With the healthcare awards season gearing up again, Dr Muiris Houston takes a look back at some memorable past winners and ‘choir-sings’ their praises.
Hospital closures to GP referrals is the new challenge for us
Dear Editor, General practice is increasingly finding itself fighting battles on many fronts with dwindling resources. Reduced pay, an ageing workforce, not enough graduates, increasing workloads and increasing numbers of GPs working part-time are just some of the current challenges.
Viscera blog
Love is the drug
By Pat Kelly. Researchers have proposed a combination of specific hormones to counteract the despair caused by unrequited love and help the jilted to move on with their lives.
The thick blue line
By Pat Kelly. Police in the UK may face pay cuts if they are deemed too obese to do their jobs.
Sledges are snow joke, say doctors
By Dara Gantly. Doctors in the UK have highlighted the dangers of sledging and recommend that “it is avoided in poor light and after drinking alcohol”.
Delaney Medal Competition and Spring College Lecture
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